BABA FARID UNIVERSITY OF HEALTH

SCIENCES, FARIDKOT

PROSPECTUS
FOR
ADMISSION TO B.SC. COURSES
SESSION 2018
2018

Phone: 01639-256232, 256236

Email admissionbfuhs@gmail.com
www.bfuhs.ac.in

1
 Raj Bahadur PHF
MESSAGE MS Orth, FRCS (Glasg),
FIMSA, FAMS, FICA, FPASc
Vice-Chancellor
Chancellor

Baba Farid University of Health Sciences, Faridkot is one among 13 Universities of Health Sciences in the
Country, which is making a niche in the Medical Education over last few years. It has five facilities of various
health sciences, has 146 affiliated colleges and about 35000 students are on roll with the University. In
I addition to
the various courses pertaining to the health sciences, the University has unique distinction of running skilled
courses in as many as 60 streams which shall develop human resources which is a great need of the society. These
skilled Courses are
re in line with the thoughts of Hon'ble Prime Minister. The University is committed for
transparency accessibility problem solving approach for the students and maintaining standards as per statutory
bodies like MCI, DCI & INC. It is open for the genuine ccriticism
riticism for the development of University. The University
and its affiliated colleges are putting every best effort to increase its infrastructure, so that ambience of better
learning is created.
In order to keep its standards, for the first time, the Uni
University
versity has started doing surprised inspections of
various affiliated colleges with an objective to improve the quantity and quality of regular faculty, infrastructure,
so that training program becomes a goal oriented and of nation standard. When on one side
si we are imposing
code for ideal teachers, then on the other side we also expect that students entering the portal of this University
should dedicate themselves for study only, so that they should come out as excellent professionals.
To add to it, it is worth
orth mentioning here that the GGSMC, Faridkot is running super specialty services in
the cardiology, Urology, Neurosurgery, Neurology, Pediatric Surgery, Neonatology, Gastro surgery as well as
Plastic Surgery . In all these department, the service are pro
provided
vided by the specialist doctors in their respective fields
on regular basis. During the MBBS, BDS, MD,MS ,MDS, DM, M.Ch. courses, the University has prepared itself for
the first time to do E-valuation
valuation of theory papers in the various professionals examinations
examinat as well as final
examination which shall make it as the second University in the country.
In the end, I welcome all the new entrants to the University.

2
 Table of Contents
Sr No. Particulars Page No.
1 Important Dates 4

1 Important Instruction for Applying 5-6

2 Introduction 7 - 10

3 List of colleges/course 11

4 General Information & Regulations 12

5 13-14
Eligibility, Procedure & other conditions for admission to B.Sc. Courses

Annexure
Sr No. Particulars Page No.
1 Certificate from the Principal/head of the institution last attended and 15
Sworn Declaration from the Parent/ Guardian
2 Specimen of Reserved category certificates 16 – 18

3 Specimen for undertaking for gap in study 19

3
 IMPORTANT DATES

1. Availability of Prospectus at University website i.e. www.bfuhs.ac.in 25 June, 2018

Last date for submission of admission application forms applying along

with fee of Rs. 3000/- (1500/- for SC only) in the shape of Demand
2. Draft drawn in favour of "Registrar Baba Farid University of Health 31st July, 2018 by 5:00 PM
Sciences, payable at "Faridkot" and with self attested photocopies of all
required documents.

Dates of Counseling:

3. The date of counselling shall be put on the University web site. For updates visit at University website
i.e. www.bfuhs.ac.in

4
 IMPORTANT INSTRUCTION FOR APPLYING

1. Please visit University website www.bfuhs.ac.in for all regular and updated information and
admissions/Date of counselling from time to time.

2. All necessary information regarding allocation of merit and seeking admission to B.Sc. courses in
Guru Gobind Singh Medical College, Faridkot, Advanced Cancer Diagnostic Treatment & Research
Centre, Bathinda & Homi Bhabha Cancer Hospital, Sangrur, all applicable rules and regulations,
etc., are contained in this booklet called PROSPECTUS, for admission to B.Sc. courses. This
Prospectus is subject to alteration(s) or modification(s) at any time without notice. For updates
please refer to University website from time to time.

3. Preference will be given to candidates who have passed 10+1 and 10+2 from recognized
school/institutions situated in the state of Punjab and candidate must have bonafide resident of
Punjab. and if seats remained vacant will be offered to the candidates who have passed their
10+1 and 10+2 examination from school situated outside Punjab states.

4. Candidate can download Application form and Prospectus from University website i.e.
www.bfuhs.ac.in and submit dully filled application form in the University upto 31 July, 2018
alongwith fee of Rs. 3000/- (1500/- for SC).Application forms received after 31 July, 2018 will
be rejected. The University will not be responsible for any delay or loss in transit caused by
Postal Dept. /Courier Services or anyone else. The requisite fee should be in the shape of
Demand Draft drawn in favour of "Registrar, Baba Farid University of Health Sciences,
Faridkot" payable at Faridkot.

5. The candidates write down his/her name, father name and phone no on the back side of Demand
Draft.

6. Fee once deposited in the University account shall not be Refunded/Adjusted in any case.

7. Applications received after the due date/time for any reason including postal delays will be
rejected. The University will not be responsible for any delay or loss in transit caused by Postal
Dept. /Courier Services or anyone else.

8. In academic matters the University shall be the final authority.

9. Reservation: As per Punjab Government Reservation Policy.

10. Only eligible candidates shall be considered for admission.

11. Notwithstanding the submission of application form, only eligible candidates, as per University
regulations, shall be considered for admission.

5
12. All those candidates who submit their Admission Application Form in the University Office shall
get a receipt for the same.

13. The date of counselling shall be put on the University web site. For updates visit at University
website i.e. www.bfuhs.ac.in

14. Only self attested photocopies of required certificates are to be sent with the Admission
Application Form. Original certificate are to be shown at the time of the counselling/seat
allotment by the Selection Committee.

15. The Admission Application Form shall be rejected if:

a) It is not received by the due date & time by post or personally in the University.
b) The requisite fee is not paid.

16. COBSE (Counsel of Board of School Education in India) grant membership to boards/institutions
that are set up by an Act of Parliament or State Legislature or by an Executive orders of the
Central / State Government and broadly follow the National Curriculum Framework/CBSE.
Therefore, candidates who have passed their qualifying examination from member-boards of
COBSE are acceptable for admissions. A complete list of members-boards of COBSE can be
downloaded from www.cobse.org. Boards not in the list of members-boards of COBSE shall not
be acceptable for admissions. The Board of Management in its meeting held on 21.08.2013 vide
para no. 28, resolved that the list of Boards recognized by COBSE shall be considered for
admission to higher courses run by the University

17. This is for the information of all candidates that as per Hon’ble Supreme Court of India, if any
incident of ragging comes to the notice of the authority, the concerned student shall be given
liberty to explain and if his explanation is not found satisfactory, the authority would expel
him/her from the institution.

6
 INTRODUCTION
1. BRIEF HISTORY:

The University was established at Faridkot under an Act of Punjab State Legislature (Punjab Act
No. 18 of 1998) in the name of great Sufi Saint Sheikh Farid Ganj-E-Shakar, (1173 1265 A.D.) in 1998
for purposes of affiliating, teaching and ensuring proper and systematic instruction, training and
research in Modern Systems of Medicine and Indian Systems of Medicine. It is not only affiliating and
examining body but also a teaching and research centre in health sciences. It is expected to play a
vital role in improving the standards of medical and health education in the state and in conducting
relevant research in all aspects of health sciences, basic as well as applied, which ultimately will
ameliorate the health standards of the people of Punjab. II is believed that the university will be a
trend setter in developing appropriate modes and models of health care to ensure quality health care
to the people.

The University has been recognized by MCI vide letter no. V/11015/3/2000-ME (UG) dated 9th
June, 2000. The UGC has also included the University in the list of recognized universities maintained
by the University Grants Commission, under section 2(1) of the UGC Act. 1956 vide letter no. F.9-3/97
(CPP-I) dated 4 July. 2002. The Regional Director. World Health Organization, Regional Office for
South-East Asia, World Health House, New Delhi has also forwarded the name of the University for
inclusion in the World Directory of Medical Schools vide letter No. M12/6212 dated 6 May 2002. The
University is also included in the list of Commonwealth Universities and their yearbook 2001 at page
No. 692 (Vol. l).

Established with a mission to create an intellectual, academic and physical environment

conducive to free flow of ideas and exchange of information between various faculties of the
university, between this university and other universities of health sciences in the country and
abroad, thereby opening a window to the world for the health professionals, health planners, health
managers. biomedical and social scientists and educationalists in health sciences of the country.
Efforts are on to establish contact with various institutions towards achieving this goal.

7
UNIVERSITY'S PRESENT STATUS:

All the new buildings of the University and its constituent college, GGS Medical College &
Hospital were completed in the year 2011. The university was shifted to its new building situated at
Sadiq Road, Faridkot in July 2011. Hon'ble Chief Minister, Punjab inaugurated two new University
buildings (Senate Block and Academic Block) on 22-09-2011. Hon'ble Deputy Chief Minister
inaugurated the Radiotherapy Unit, and other buildings of GGS Medical College & Hospital, on 23-09-
2011. The GGS Medical College & Hospital, a constituent college of the University is also shifted to its
new building.
The University Campus comprises of GGS Medical College along with Auditorium of 800
capacity, Senate Block, Academic Block, University College of Nursing, University College of
Physiotherapy, University Institute of Para-Medical Sciences, University Institute of Pharmaceutical
Sciences, Dept. of Nuclear Medicine, Telemedicine, Edusat and a well equipped state-of-the-art 500
bedded hospital, Drug De-addiction & Treatment Centre at Faridkot. The State Institute of Nursing
and Para-Medical Sciences, Village – Badal (Muktsar), Institute of Nursing (University Regional Centre)
at Shri Goindwal Sahib and Advanced Cancer Diagnostic Treatment & Research Centre and Drug De-
Addiction & Treatment Centre at Bathinda are also run by University.
The university has started number of employment-oriented diploma courses and certificate
programs in health sciences and allied services.

UNIVERSITY'S NEW PROJECTS:

University is on the way to establish :-

1) Super Specialty Block in GGS Medical Hospital, Faridkot

2) Mother & Child Block in GGS Medical College, Faridkot
3) University Institute of Paramedical Sciences, Faridkot
4) Advanced Cancer Diagnostic, Treatment & Research Centre at Bathinda.
5) University Regional Centre for Public Health & Paramedical Sciences at Goindwal Sahib.
University has acquired 20 Acres of land for its Regional Center at Goindwal Sahib. The University
has planned to run a number of employment-oriented diploma courses and certificate
programmes in Health Sciences.

8
The University is also in process of developing the following five study centers:
1. Centre for Distance Learning (Medical) and Educational Technology miscellaneous.
2. Centre for Health Systems and Health Services Management.
3. Centre for Bio-information Technology.
4. Centre for Human Resources Development and Health Management.
5. Centre for Population Sciences.
6. University Institute of Nursing, Jalalabad,Distt. Fazilka attached with upcoming 100 bedded
Hospital.

UNIVERSITY'S CONSTITUENT COLLEGES:

1. Guru Gobind Singh Medical College, Faridkot
2. University College of Nursing, Faridkot
3. University College of Physiotherapy, Faridkot
4. University Institute of Pharmaceutical Sciences, Faridkot
5. University Institute of Para-Medical Sciences, Faridkot
6. State Institute of Nursing and Para-Medical Sciences, Village – Badal(Muktsar)
7. Institute of Nursing, University Regional Centre, Shri Goindwal Sahib
8. University Institute of Nursing , Jalalabad.
Recently, Govt. of Punjab has transferred 100 bedded Civil Hospital, Badal to University for
strengthening and expanding the connection between rural medical services and the education and
research carried on by the Baba Farid University of Health Sciences. The GGS Medical College &
Hospital, a constituent college of the University has 24 departments and 21 post graduate
departments.
Guru Gobind Singh Medical College & 700 bedded Hospital. Faridkot vide notification no.
8/02/2005-1HB-I11/6308 dated 31.10.2006 and State Institute of Nursing & Paramedical Sciences,
Badal vide notification no. 1/46/07-1HBIV/1163 dated 28.11.2007. In addition to above, the Board of
Management of University also accepted the proposal for starting of Physiotherapy College in the
University campus in its meeting held on dated 03.04.2007 and fourth constituent college was
established viz. University College of Physiotherapy. University has also established its own Institute
of Pharmacy. The GGS Medical College & Hospital, constituent college of the University has 24
departments and 21 post graduate departments and is recognized by MCI.

9
COLLEGES AFFILIATED WITH UNIVERSITY:
At present the University is having 146 affiliated colleges comprising 136 affiliated and 10
constituent Colleges (with an approximately 35,000 students).
University will soon endeavor to achieve excellence in health care delivery and Medical
Education and Research in the State. Admissions to various undergraduate and post graduate courses in
the affiliated institutions of this University in the State of Punjab are made on merit basis through the
conduct of Entrance Tests.
The University is now primarily focusing on strengthening postgraduate medical education and
research and evolving as a centre of excellence in a rural backdrop.
Selection of the candidates to any institution shall be made on merit and in transparent manner
as per Punjab Government Notification/s.
COLLEGE INSPECTIONS:

The University has started conducting the surprise inspections of all the colleges and due to this,
the colleges are compelled to maintain their standard related to academic staff, discipline and
availability of amenities etc. Moreover, the University has started highlighting the shortcomings which
the colleges have failed to rectify. This information is made available to the prospective students at the
time of admission, before they select the college of their choice.
UNIVERSITY EXAMINATION SYSTEM:

The University had introduced Onscreen Marking Solution and w.e.f. session 2016 and e-transfer
system of question papers of various courses to the examination centers to maintain the sanctity of
examinations. This process and implementation strategies will help us to deliver, efficiency, reliability
in high stakes examination and their certifications

10
 List of B.Sc. Courses
Sr. No. Course Name No. of Seats
Guru Gobind Singh Medical College & Hospital, Faridkot
1 B.Sc. (Optometry) 4
2 B.Sc. (Medical Radiography & Imaging Technology) 4
3 B.Sc. (Radiotherapy Technology) 4
4 B.Sc. (Orthopedic Assistant & Plaster Techniques) 4
5 B.Sc. (Operation Theatre Technology) 4
6 B.Sc. (Dialysis Techniques) 4
7 Bachelor of (Audiology & Speech Language 10
Pathology)
8 B.Sc. (Anaesthesia Technology) 4
9 B.Sc. (Emergency Responder) 4
10 B.Sc. (Intensive Care Unit Technology) 4
Advanced Cancer Diagnostic Treatment & Research Centre, Bathinda
11 B.Sc. (Medical Radiography & Imaging Technology) 4
12 B.Sc. (Operation Theatre Technology) 4
13 B.Sc. ( Anaesthesia Technology) 4
14 B.Sc. (Intensive Care Unit Technology) 4
15 B.Sc. (Radiotherapy Technology) 4
Homi Bhabha Cancer Hospital, Sangrur
16 B.Sc. (Radiotherapy Technology) 2
17 B.Sc. (Operation Theater Technology) 2
18 B.Sc. (Anaesthesia Technology) 2
19 B.Sc. (Medical Radiography & Imaging Technology) 2

11
General Information & Regulations

1. All admissions are provisional and are subject to approval by Baba Farid University of Health
Sciences, Faridkot
2. The distribution of seats is tentative and final distribution will be shown at the time of
counselling venue.
3. The courses of study and examinations will be governed by the regulations of BFUHS.

4. The Rules and Regulations, including fees, may be revised as and when required and the revised
rules and regulations/fee will be applicable ir-respectable of the conditions mentioned in this
prospectus. All Students shall comply with rules & regulations.

5. In case of any dispute arising out of any Clause/Provisions of the prospectus, the civil court at
Faridkot shall have the jurisdiction to entertain and decide the dispute.

6. This is for the information of all candidates that as per Hon’ble Supreme Court of India, if any
incident of ragging comes to the notice of the authority, the concerned student shall be given
liberty to explain and if his explanation is not found satisfactory, the authority would expel him
from the institution.

7. Students, whose conduct and academic standards are considered unsatisfactory, shall not be
allowed to appear in the University Examination or to hold any post in any extracurricular
committee of the college/department.

8. All students must abide by the rules and regulations of the hostel. On failure to do so, disciplinary
action will be taken by the hostel/college authorities.

12
 Eligibility, procedure and other conditions for admission to
B.Sc. Courses is as under:
1. Duration of Course:
Duration of course shall be three (3) years.
Duration of Bachelor of Audiology & Speech-Language Pathology shall be Four (4) years.
2. Admission Criteria and Qualification:
Candidate must have passed 10+2 with the subject of Physics, Chemistry, Biology and English
individually and must have obtained a 40% marks taken together in Physics, Chemistry and
Biology.

OR

Candidate has passed 10+2 examination in any stream other than science and holding 2 years full
time regular diploma in a paramedical subject from a recognized medical college only.

For BASLP:

As per Circular dated 17.8.2017 issued by the Rehabilitation Council of India , the eligibility for
admission to BASLP(Bachelor of Audiology & Speech-Language Pathology) with respect to the
combination of subject shall be read as follows in the revised guidelines of 2017-18.

“ The applicant/candidate should have studied Physics, Chemistry and Biology/ Mathematics /
Computer Sciences / Statistics / Electronics / Psychology at 10+2 level “

The other norms and guidelines for the aforesaid course content shall be effective as per the new
guidelines of the Council in the year 2017-18 onwards.

Lateral Entry: Candidate is eligible for lateral entry directly into the second year of B.Sc. course, if
he/she has passed 10+2 (Science) and holding 2 years full time regular diploma in paramedical
subject from a recognized medical college only.

3. Admission Procedure:
Admission shall be made as per the merit of Physics, Chemistry and Biology (PCB) marks taken
together in 10+2 examination
In case of two or more candidates having equal marks in PCB in 10+2 examination, their
inter-se merit will be determined as Under:-
i) Candidate having higher marks in Biology
ii) Candidate older in age.

13
4. Medium of Instructions:
The medium of instruction of the course and examination shall be English.
5. Course Fee to be paid by the students (Per annum):

Rs. 30,000/- p.a.(Hostel/Mess fee will be extra).

Fee revised by of the Board of Management (BOM) in the meeting held on 01-03-2015

The course fee shall be charged by the concerned college and is inclusive of Annual University Fee
of Rs. 3,500/- per admitted student per course to be paid to the University by the college.

6. NRI:
NRI candidates must obtain Eligibility certificate from the University before applying. Fee for
issuance of Eligibility certificate is 200 US$ and Tuition fee is 2000 US$ for full course.

14
 ANNEXURE- I

Form No. 1
(Compulsory for all Candidates)
CERTIFICATE FROM THE PRINCIPAL/HEAD OF THE INSTITUTION LAST ATTENDED

I certify that Mr./Miss _____________________________________________________ S/o D/o

Sh.______________________________________________ has studied 10+1 & 10+2 from school/s which are recognized
institution(s) as under:
Class Name of School with city and State Passing year
10+1
10+2

School/College Roll No. in case of Marks obtained/ Total Marks

11th Class exams. Board Roll No. Year Physics Chemistry Biology English
Class
in case of 12th class
Obt. Max. Obt. Max. Obt. Max. Obt. Max.
10+1
10+2
i) Attested photo copies of DMC of 10+1 and 10+2 examinations are attached with this certificate.
ii) Permanent residential address of candidate as recorded in school record is as under:-
___________________________________________________________
___________________________________________________________

Signature of the Headmaster/Principal

of Institution Last attended
Date ________________ (with official seal)
Place ________________

Compulsory for all candidates

SWORN DECLARATION FROM THE PARENT/GUARDIAN

I…………………………………………….……….father/mother/guardian of Miss/Mr……………........................……….............
resident of ……………………………………………………………………………………..………………………………………………....................
(full address to be given)
do, hereby, undertake that:
1. That I am a citizen of India.
2. That my child/ward has not obtained the benefit of Residence in any other state for admission to any of the
medical/dental courses.
3. That my son/daughter/ward has not passed the qualifying examination from more than one Board/ University.
4. That my son/daughter/ward had not been taken admission in any course of the University in previous session.
5. I further declare that if any of the information given by me or my son/daughter/ward at any stage even after the
admission, the admission is liable to be cancelled.

Dated: SIGNATURE

15
 ANNEXURE- II
CERTIFICATES OF RESERVED CATEGORIES

CERTIFICATE OF SCHEDULED CASTE

As per letter No.1/41/96-RCI/110001-17, dated 5.12.1996 of

Govt. of Punjab, Department of Welfare (Reservation Cell)

It is certified that Shri/Shrimati/Kumari_________________________ son/daughter of Sh.________________ of

village/town _______________________District/Division __________________________ state of Punjab belongs to
_______________ caste which has been recognised as Scheduled caste as per “The Constitution (Scheduled Castes) Order,
1950”

2. Shri/Shrimati/Kumari__________________________ and his/ her family lives in village/

town____________________ District/ Division ________________ of Punjab State

Date______________ Signature

Place_____________ Designation
Seal of office

Competent authority to issue Caste Certificate

I. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/ Additional Deputy

Commissioner/ Deputy Collector/First Class Stipendiary Magistrate/ City Magistrate/Sub Divisional Magistrate
/Talika Magistrate/ Executive Magistrate/ Extra Assistant Commissioner (Not below the rank of first class Stipendiary
Magistrate).

II. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.

III. Revenue Officer not below the rank of Tehsildar.

IV. Sub-Divisional Officer of the area where the candidate and/or his family normally resides.
V. Administrator/Secretary to Administrator/Development Officer Lakshadweep Islands. (circulated vide no.2/223/79-
SWI/4337, dated 8.6.90)

OR

The certificate for this purpose issued by any other competent authority declared by Government of Punjab in any
other prescribed proforma.

16
FORM OF CERTIFICAE TO BE PRODUCED BY A CANDIDATE BELONGING TO A BACKWARD CLASS IN SUPPORT OF HIS/HER
CLAIM.

Government of Punjab
Certificate of Backward Class

Office of the___________________________________ District_______________________________________________

Certificate No._______________________________________________________________________________________

This is to certify that Shri/Smt./Kumari _______________________________________________________________

Son/Daughter of _______________________________________________________________

Village ______________________________________________________________

District/Division ______________________________________________________________

In the State of Punjab belongs to the______________________community which is recognized as a backward class under the
Government of Punjab, Department of Welfare of SCs and BCs vide Notification
No._______________________________________dated____________________________.

Shri/Smt./Kumari_______________________and or his/ her family ordinarily resides in the

______________________District/Division of the State of Punjab.

This is also to certify that he/ she does not belong to the person/ sections (Creamy Layer) mentioned in Column 3 of the
Schedule to the Government of Punjab Department of Welfare of SCs & BCs Notification No. 1/41/93-RC1 dated 17.01.1994.
as amended vide Notification No. 1/41/93-RC1/1597 dated 17.08.2005, Notification No. 1/41/93-RC1/209 dated 24.02.2009
and Notification No. 1/41/93-RC1/609 dated 24.10.2013.

Date of Issuance Signature of Issuing Authority

Designation ________________
Date ________________
Space for Place ________________
Photograph

Note: The term "Ordinarily" used here will have same meaning as in Section 20 of Representation
of People Act, 1950.

17
 Gosh$dkyb/ ;w/A gZSVh ;/aqDh Bkb ;pzXs ftnesh s'A bJ/ ikD tkb/ ;t?^x';aDk gZso dk
gockowk

1H w?AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHg[Zso$g[Zsoh ;aqhHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHtk;hHHHHHHHHHHHHHHHHHHHHHHHHHHH
HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHfgzv$e;pk$;afjoHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHfibQkHHHHHHHHHHHHHHHHHHHHHHHHHHH
x';aDk eodk jK fe w?AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHiksh Bkb ;pzXs oZydk$oZydh jK s/ fJj iksh gzikp
;oeko tb' gZso BzLHHHHHHHHHHHHHHHHHHHHHHHHHfwshHHHHHHHHHHHHHHHHokjh gZSVh ;a/qDh eoko fdZsh rJh j?.
2H w? fJj th x';aDk eodk jK fe w?A gzikp ;oeko tb' ikoh jdkfJsk BzL 1$41$93^o;1$459 fwsh
17H01H1994, fi; B{z pknd ftZu gZso fwsh 1$41$93^o;1$1597 fwsh 17H08H2005H fwsh
01$41$93^o;1$209 fwsh 04H02H2009 ns/ gZso BzL 1$41$93^o;1$609 fwsh 24H10H2013 Bkb
;'fXnk frnk j?, dh nB[;{fus ftZu doi ekbw 3 d/ nXhB Bjh nkT[Adk ns/ w/oh ns/ w/o/ gfotko
dh ;ko/ t;hfbnK s'A nkwdB 6H50 bZy o[gJ/ s'A xZN j?.

;EkBL x';aDk eosk

fwsh

t?ohfce/;aBL^

w? fJZE/ fJj x';aDk eodk jK fe T[go'es fdZsh rJh ikDekoh w/oh ;wM nB[;ko ;jh tk do[;s j?
ns/ fJ; ftZu e[M th S[gkfJnk Bjh frnk. w? fJBQK sZEK s'A ikD{z jK fe i/eo w/oh e'Jh th fdZsh ;{uBk rbs
fBebdh j? sK w?A ekB{zB ftZu doi ;Ik dk jZedko j'tKrk ns/ gqkoEh B{z fJ; ;{uBk d/ nkXko s/ fdZs/ rJ/
bkG tkfg; b? bJ/ ikDr/.

;EkBL x';aDk eosk

fwshL

18
 Undertaking for Gap in Study

I …………………………………………………………S/o, D/o Shri………………..…………………..………………………resident of

……………………………………..………………………..(full address to be given) do hereby solemnly state and affirm

as under:-

1. That I have passed 10+2 examination held in ……………………………… (Month & Year)
from………………………………………………………………………….…………..……..(name of the college/school)
2. That I have not joined any college/institution after passing ………………………………………

OR
That I have joined the course of …………………………………………………...at…………………………………………………
(name of the institution) from……………………… (Month & Year) and I will leave the same before joining
the ………………….…………………………………………………………(name of course).

Dated:………………………… Candidate Signature

19